Chapter 4: Pain Management

Which is a nonpharmacological cognitive-behavioral technique that may relieve anxiety in a patient experiencing chronic pain?

Distraction

Which class of medications includes naloxone?

Opioid antagonists

The nurse is teaching a patient about the administration of a prescribed liquid form of acetaminophen. What information does the nurse include when advising this patient?

Take (a maximum up to) 4000 mg/day.

A patient with chronic back pain has unrelieved pain. How does the pain have a significant financial impact?

Increases length of hospital stay

The nurse manager for an oncology unit is evaluating a newly hired staff nurse. Which action by the nurse is of greatest concern to the nurse manager?

Preparing to administer a placebo to a patient with chronic back pain.

The health care provider has reduced the postsurgical patient's dose of morphine from 15 mg to 4 mg. Which nursing assessment would have prompted this change in orders?

The patient drifted off to sleep during conversation.

The nurse is caring for a patient who has a history of osteoarthritis and peptic ulcer disease. Which analgesic medication will the nurse anticipate administering to the patient?

Acetaminophen

A patient with chronic pain feels no relief with high-dose opioids and says, "I just can't manage living right now." What intervention does the nurse anticipate the health care provider will order for this patient?

Adding duloxetine as adjuvant therapy

The nurse is caring for a patient who is receiving intravenous hydromorphone. Prior to administration of the medication, the patient's respiratory rate was 18 breaths per minute. Ten minutes after receiving a dose of hydromorphone, the patient is unarousable and her respiratory rate is 8 breaths per minute. Which action will the nurse implement immediately?

Administer Naloxone

The patient is receiving opioid analgesic medication via patient controlled analgesia (PCA). On occasion, the patient's spouse activates the PCA button. Which nursing action will the nurse implement immediately?

Advise the patient and his spouse that only the patient may activate the PCA

The nurse is establishing a plan of care for a hospitalized patient with chronic pain caused by fibromyalgia. Which nursing action does the nurse delegate to a nursing assistant?

Engagement in conversation about the patient's family to distract the patient

A patient with cancer who is taking pain medication states, "I am still having pain." During the assessment, the patient does not exhibit any physical manifestations of pain. What does the nurse do next?

Gives the pain medication as requested

A nurse is guiding a patient with chronic pain through visualizing being on a peaceful beach. This is an example of which type of nonpharmacological anxiety management?

Imagery